KAREN L WILSON (NPI# 1851390025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851390025 |
Entity Type | Individual |
Full Name | KAREN L WILSON |
Credential | M.D. |
Practice Address |
3811 Valley Centre Dr San Diego CA 92130 |
Mailing Address |
3811 Valley Centre Dr San Diego CA 92130-3318 |
Practice Telephone | 8587643030 |
Mailing Telephone | 8587643030 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2018-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036103153 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036103153 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1030 N Clark St, Suite 400, Chicago, IL 606105467 | 3129436964 | 3129436924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225654726 | Karen Y Wilson | Student in an Organized Health Care Education/Training Program | The University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN 38163-4774 | 2020-06-19 |
1477954139 | Karen Wilson | Pharmacist | 700 Dill Rd, Severna Park, MD 21146-4106 | 2014-09-11 |
1700290145 | Karen Wilson | Physical Therapist | 8828 W Evening Star Ln, Boise, ID 83709-5306 | 2014-06-13 |
1659661759 | Karen Kaye Wilson | Occupational Therapy Assistant | 2422 Cheyenne Ave, Pueblo, CO 81003-1433 | 2011-04-11 |
1760704423 | Karen A Wilson | Speech-Language Pathologist | 1782 Curry Ave, Deltona, FL 32738-4180 | 2010-02-23 |
1629205950 | Karen B Wilson | Dentist | 246 Canyon Lakes Pl, 246 Canyon Lakes Place, San Ramon, CA 94582-4917 | 2009-06-12 |
1245470012 | Karen I Wilson | Clinical Neuropsychologist | 11340 W Olympic Blvd., Suite-250, Los Angeles, CA 90064 | 2009-03-05 |
1992912661 | Karen Wilson | Specialist | 2003 Merlin Ave, Somerset, KY 42503-2520 | 2007-05-16 |
1427264100 | Karen Perry Wilson | Counselor | 400 Washington St Ste 303, Braintree, MA 02184-4768 | 2007-05-16 |
1295959930 | Karen Kahn Wilson | Psychologist | 15 Danbury Ave, Westport, CT 06880-6820 | 2007-04-12 |
Street Address |
3811 VALLEY CENTRE DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154969905 | Allegra Conway | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-12-11 |
1174168553 | Melissa Alice Mang | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-11-09 |
1821576158 | Kaitlyn Morrissey | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2018-07-30 |
1487162053 | Danielle Boward | Dietitian, Registered | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2018-01-17 |
1053837187 | Alison Cusmano | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2017-08-21 |
1528508363 | Elizabeth Hawk | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2017-02-27 |
1790227452 | Shawna Mellon | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2016-11-12 |
1336523331 | Allison Geissert | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2015-07-20 |
1073992723 | Jhanina Dioso | Pediatrics | 3811 Valley Centre Dr, San Diego, CA 92130 | 2015-05-28 |
1588051759 | Jeffrey Woo | Student in an Organized Health Care Education/Training Program | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2015-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
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Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548449564 | Family Wellness Medical Corporation | Pediatrics | 3582 National Ave, Suite #2, San Diego, CA 92113-3157 | 2007-10-26 |
1548308109 | Nguyen L Le | Pediatrics | 5507 El Cajon Blvd # B, San Diego, CA 92115-3624 | 2007-02-02 |
1366478398 | Suzanne Mills | Pediatrics | 12395 El Camino Real Ste 217, San Diego, CA 92130-3084 | 2006-06-23 |
1134461569 | Camille Angela Robinson | Pediatrics | 2051 Cushing Rd, San Diego, CA 92106 | 2013-03-24 |
1265401186 | James Donald Coullahan | Pediatrics | 34800 Bob Wilson Dr, Nmcsd,attn:medical Staff Services, San Diego, CA 92134-1098 | 2006-03-14 |
1295706596 | James J Chun | Pediatrics | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.